The principle of equivalence reconsidered : assessing the relevance of the principle of equivalence in prison medicine
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 2724356
Author(s) Jotterand, Fabrice; Wangmo, Tenzin
Author(s) at UniBasel Jotterand, Fabrice
Wangmo, Tenzin
Year 2014
Title The principle of equivalence reconsidered : assessing the relevance of the principle of equivalence in prison medicine
Journal The American journal of bioethics
Volume 14
Number 7
Pages / Article-Number 4-12
Keywords professional ethics, prison medicine, health care delivery, principle of equivalence
Abstract

In this article we critically examine the principle of equivalence of care in prison medicine. First, we provide an overview of how the principle of equivalence is utilized in various national and international guidelines on health care provision to prisoners. Second, we outline some of the problems associated with its applications, and argue that the principle of equivalence should go beyond equivalence to access and include equivalence of outcomes. However, because of the particular context of the prison environment, third, we contend that the concept of "health" in equivalence of health outcomes needs conceptual clarity; otherwise, it fails to provide a threshold for healthy states among inmates. We accomplish this by examining common understandings of the concepts of health and disease. We conclude our article by showing why the conceptualization of diseases as clinical problems provides a helpful approach in the delivery of health care in prison.

Publisher The MIT Press
ISSN/ISBN 1526-5161
edoc-URL http://edoc.unibas.ch/dok/A6223605
Full Text on edoc No
Digital Object Identifier DOI 10.1080/15265161.2014.919365
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/24978402
ISI-Number WOS:000338992700003
Document type (ISI) Article
 
   

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